The Roux-en-Y Gastric Bypass is currently the world’s most commonly performed bariatric procedure. It works by surgically dividing your stomach and creating a smaller stomach ‘pouch’. The small intestine is also divided and the bottom end joined to the small stomach pouch. The larger part of the stomach and the top part of the small intestine are thus bypassed when food is consumed.
Weight loss occurs because the stomach can only hold smaller amounts – therefore less calories are consumed, and secondly, because the small intestine has been shortened there is less intestine to absorb calories and nutrients. Also, the diversion of the food promotes changes in gut hormones which suppress hunger and give a feeling of fullness.
The Sleeve Gastrectomy removed around 80% of the stomach, leaving only a banana-shaped tubular pouch.
In the same way as the Roux-in-Y gastric bypass, weight loss occurs because calorie intake is restricted due to the substantially smaller portions of food that can be eaten comfortably, and also the impact on regulating hunger and blood sugar control that surgery has on the gut hormones.
The adjustable gastric band is the only reversible bariatric procedure. Here, a small pouch is formed in the top part of the stomach by using an inflatable band to section-off the upper portion of the stomach from the rest of the stomach below. The band creates a small opening between the two parts of the stomach – the smaller the opening the more full you will feel, thereby reducing your food and calorie intake.
The band is adjusted gradually by filling the band with saline, which is injected through a port under the skin.
This procedure is in two parts. First, like the sleeve gastrectomy, a portion of the stomach is removed leaving a small, tubular pouch. Secondly, like the gastric bypass, the second part of the small intestine is joined to the stomach, bypassing the upper part of the small intestine. However, unlike the other procedures, a large part of the bowel (about three-quarters) is bypassed.
In the same way as the other bariatric procedures, weight loss occurs because smaller portions are consumed as a result of reducing the size of the stomach, but also because the small intestine is shortened there is a much smaller area where calories and nutrients can be absorbed. The procedure also has a bearing on gut hormones, so that feelings of hunger are diminished.
Your doctor will assess whether you are a suitable candidate for bariatric surgery, and discuss with you the pros and cons of each method. Although bariatric surgery is a reasonably safe procedure, it must be noted that all surgery carries a small risk, and if you are clinically obese, you may well have some other medical problems that may exacerbate your risk.
Any surgery is a major undertaking, and none more so than bariatric procedures. There are a number of things you must consider that may cause problems for a grossly overweight person, such as flying, and follow-up appointments.
If you can overcome these problems and reflected on the risks involved, then bariatric surgery in Bangkok should be no more risky than staying at home.
Bangkok has a very high-standard of healthcare facilities, and if you are used to public healthcare rather than private healthcare the facilities will seem very luxurious.
New, modern hospitals with state-of-the-art equipment are the norm in many hospitals that treat international patients. Although cost is the primary factor for patients choosing Bangkok at the beginning of their searches, this soon becomes a secondary factor when weighing up the standards of care available, and it is the consistently high standards that has drawn international patients back here year upon year.
The high-standards permeate every aspect of care in Bangkok, from the moment you walk through the hospital doors, to the moment you leave. Courtesy, efficiency and customer care are all customary, making the entire patient experience as stress-free and comfortable as possible. Surgeons here are as highly skilled and trained as your surgeon at home, and are likely to be members of the same international professional organizations, such as the International Federation for the Surgery of Obesity (IFSO).
Medical Departures ensures our partner clinics offer the same high-quality standards and we do this by doing a number of background checks which assess help us to assess reliability. Doctor qualifications, professional memberships and international affiliations are all verified, and we pay personal visits to clinics and hospitals so we can see for ourselves how things work and how things look. Only if we are happy do we list the clinic on our site, so that you can choose your clinic with peace-of-mind. Real patient reviews, high definition clinic photos and video tours give you further information at your fingertips, helping you to reach a decision about whether a particular clinic/surgeon is right for you.
This depends on what procedure you have done. For a gastric band, you will probably be discharged in 24 hours, whereas for the other, more permanent, procedures you will usually require a 2 – 5 day hospital stay.
How much does bariatric surgery cost in Bangkok, in comparison to Australia or New Zealand?
The different types of bariatric surgeries are not all prices the same, but taking an average, bariatric surgery in Bangkok is around AUD $10,000, whereas in Australia it can be as much as AUD $28,000.
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